Jessica N Peacock, is a
Licensed Vocational Nurse based in Shawnee, Oklahoma. Jessica N Peacock is licensed to practice in Oklahoma (license number L0065286) and her current practice location is
781 Grand Casino Blvd, Shawnee, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(405) 964-5770.
NPI number for Jessica N Peacock is 1962214775 and her current mailing address is 781 Grand Casino Blvd, Shawnee, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962214775.
Provider's Profile
Full Name | Jessica N Peacock |
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Gender | Female |
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Speciality | Licensed Vocational Nurse |
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Location | 781 Grand Casino Blvd, Shawnee, Oklahoma |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1962214775
- Provider Enumeration Date: 01/21/2025
- Last Update Date: 01/21/2025
Medical Identifiers
Medical identifiers for Jessica N Peacock such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962214775 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164X00000X | Licensed Vocational Nurse | L0065286 (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica N Peacock is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jessica N Peacock, 781 Grand Casino Blvd, Shawnee, OK 74804-1005 Ph: (405) 964-5770 | Jessica N Peacock, 781 Grand Casino Blvd, Shawnee, OK 74804-1005 Ph: (405) 964-5770 |
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